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Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

Hensen, B., Lewis, J. J., Schaap, A., Tembo, M., Mutale, W., Weiss, H. A., Hargreaves, J. and Ayles, H. 2015. Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia. AIDS and Behavior 19 (3) , pp. 492-504. 10.1007/s10461-014-0866-0

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The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15–60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Publisher: Springer
ISSN: 1090-7165
Last Modified: 15 Aug 2019 13:00

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